Late parastomal evisceration

Background Parastomal evisceration is a very uncommon complication of stomas with only few cases reported in the literature. This complication can be developed in the early postoperative period due to technical aspects of stoma creation, but late parastomal evisceration appearing after 6 months from...

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Bibliographic Details
Published in:International journal of colorectal disease 2020-09, Vol.35 (9), p.1787-1789
Main Authors: Lapeña-Rodríguez, María, Fernández-Moreno, María-Carmen, Martinez-Montava, Elsa, Muñoz-Forner, Elena, Ortega, Joaquín
Format: Article
Language:English
Subjects:
Case Report
Colon
Emergency medical care
Gastroenterology
Hepatology
Hernia
Hernias
Internal Medicine
Medicine
Medicine & Public Health
Ostomy
Patients
Proctology
Shock
Small intestine
Surgery
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Summary:Background Parastomal evisceration is a very uncommon complication of stomas with only few cases reported in the literature. This complication can be developed in the early postoperative period due to technical aspects of stoma creation, but late parastomal evisceration appearing after 6 months from surgery is an exceptional condition. Herein, we present a rare case of a patient with late parastomal evisceration. Case presentation A 44-year-old man with sigmoid volvulus underwent a temporary end-terminal colostomy. The ostomy was complicated by a parastomal hernia and stoma prolapse 5 months postoperatively. He was brought into our emergency department having been found collapsed in the street. On physical examination, the patient presented signs of shock and evisceration of small bowel through the colostomy. Intraoperatively, a perforation of prolapsed colon was assessed as the point for intestinal evisceration. We discuss this case and all similar cases reported in the literature. Conclusion Parastomal evisceration is a potentially life-threatening complication. Patients with parastomal hernia and stoma prolapse must be considered for surgical treatment to avoid this complication.
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-020-03628-5